Laparoscopic inguinal hernia repair began in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for about 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women. Repair of inguinal hernias is considered one of the most commonly performed surgical procedures allover world. Inguinal hernia repairs are also of the most common operations done in general surgery. In addition to the conventional open repairs, minimally invasive approaches are becoming increasingly preferred in the management of groin hernia repair. Although open, mesh-based, tension-free is still the standard, laparoscopic herniorrhaphy, when performed by adequately trained surgeons, produces very good results comparable to those of open repair.